Anovulatory infertility — DRCOG MCQ
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Correct answer: D — Offer referral for fertility assessment and ovulation induction discussion
Offer referral for fertility assessment and ovulation induction discussion is the best answer because the vignette is testing Anovulatory infertility and the recommended approach is consistent with NICE CG156. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Book a non-urgent community midwife appointment; Arrange routine review in six weeks; Start topical oestrogen treatment; Repeat the pregnancy test in one week would be suboptimal in this scenario. In DRCOG-style primary care questions, the safest answer is usually the step that matches the acuity and gestation rather than symptomatic treatment alone.
Reference: NICE CG156